Order Code MET Methemoglobin and Sulfhemoglobin, Blood
Additional Codes
Mayo Test ID |
---|
MET |
Reporting Name
Methemoglobin and Sulfhemoglobin, BUseful For
Diagnosing methemoglobinemia and sulfhemoglobinemia
Identifying cyanosis due to other causes, such as congenital heart disease
Specimen Type
Whole Blood EDTAShipping Instructions
Specimen must arrive within 72 hours of collection.
Necessary Information
Patient's age is required.
Specimen Required
Container/Tube: Lavender top (EDTA)
Specimen Volume: Full tube
Additional Information: Patient's age is required.
Specimen Minimum Volume
1 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Whole Blood EDTA | Refrigerated | 72 hours |
Reject Due To
Gross hemolysis | Reject |
Reference Values
METHEMOGLOBIN
0-11 months: Not established
≥1 year: 0.0-1.5% of total hemoglobin
SULFHEMOGLOBIN
0-11 months: Not established
≥1 year: 0.0-0.4% of total hemoglobin
Performing Laboratory
Mayo Clinic Laboratories in RochesterDay(s) Performed
Monday through Saturday
Method Name
Spectrophotometry (SP)
CPT Code Information
83050-Methemoglobin
83060-Sulfhemoglobin
Profile Information
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
METH | Methemoglobin, B | No | Yes |
SULF | Sulfhemoglobin, B | No | Yes |
Method Description
Methemoglobin:
The normal absorption spectrum of oxyhemoglobin has very little optical density above 600 nm. The absorption spectrum of methemoglobin exhibits a small, characteristic peak at 630 nm. This peak is abolished as methemoglobin is converted to cyanmethemoglobin upon addition of potassium cyanide, and the drop in optical density is proportional to methemoglobin concentration.
Sulfhemoglobin:
The normal absorption spectrum of oxyhemoglobin has very little optical density above 600 nm. However, if certain poorly defined hemoglobin denaturation products are present in a hemolysate, there is a broad elevation of the absorption curve in the range of 600 nm to 620 nm. This sulfhemoglobin plateau is not affected by treatment with cyanide. Sulfhemoglobin is not available, nor can it be prepared, in a pure form for preparation of a sulfhemoglobin standard. In calculating sulfhemoglobin concentration, the factor for sulfhemoglobin quantitation is based on studies of Carrico, et al.(Evelyn KA, Malloy HT. Microdetermination of oxyhemoglobin, methemoglobin, and sulfhemoglobin in a single sample of blood. J Biol Chem. 1938;126:655-662; Carrico RJ, Peisach J, Alben JO. The preparation and some physical properties of sulfhemoglobin. J Analyt Biochem. 1978;253(10):2386-2391; So JCC, Ma ESK. Hemoglobin and hemoglobinopathies. In: Rifai N, Chiu RWK, Young I, Burnham CAD, Wittwer CT, eds. Tietz Textbook of Laboratory Medicine. Elsevier; 2023:chap 77)
Forms
If not ordering electronically, complete, print, and send a Benign Hematology Test Request Form (T755) with the specimen.